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Online Application for Property Tax Exemption for Nursing Homes and Boarding Care Homes CR-NBH

Please complete all questions on the form. Application due to the Pope County Assessor by February 1. If you have any questions, contact our office at 320-634-7715.

Property Information

To be completed by all applicants.
Representative or Owner Last Name
First Name
Middle Initial
Mailing Address
Example: 00-0000-000. Legal description located on the tax statement or valuation notice

Certifications

I certify that the above organization is exempt from federal income tax under section 501(c)(3).

You must be able to cerify one of the following as being true in order to qualify for the exemption:

I certify that this facility is certified to participate in the medical assistance program under title 19 of the Social Security Act.
I certify that this facility does not discharge residents due to inability to pay.
Include with this application a designation from the IRS proving status as a 501(c)(3) organization. Also include with this application a copy of the facility’s discharge policy or proof that the facility is certified to participate in the medical assistance program under title 19 of the Social Security Act.
Max. file size: 256 MB.

Sign Here

By signing below, I certify that the above information is true and correct to the best of my knowledge, and I am the owner of the property or authorized representative of the organization that owns the property for which exemption is being claimed.
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Last updated by the Pope County Assessor’s office February 28, 2024